Patient Navigator

Job Description:

• Act as a single point of contact for providers, patients, caregivers, and product/sales teams
• Help patients gain access to therapy
• Work with Specialty Pharmacy and Hub teams to obtain reimbursement coverage
• Provide information about reimbursement and financial assistance options
• Coordinate therapy access, conduct follow-up, and facilitate access to support services
• Manage a regional caseload
• Maintain case histories for assigned patients in the CRM system
• Resolve reimbursement issues, including insurance changes and prior authorizations
• Work with Field Sales Representatives and the Market Access team
• Answer patient inquiries and resolve access and reimbursement problems
• Provide ongoing support through regular calls with patients and caregivers
• Assist with patient access requests and application processes
• Maintain regular and reliable attendance
• Perform other related duties as assigned

Requirements:

• Bachelor’s Degree (general business, health sciences, public policy, or other related degrees) preferred
• Minimum 5 years of reimbursement experience, including benefits investigation, prior authorization, medical benefit, and Medicaid experience
• Bilingual English/Spanish preferred
• Exceptional listening, written, and analytical skills
• Proficient in Word, Excel, and PowerPoint for presentation and report development
• Strong knowledge of customer care processes and techniques
• Excellent leadership, communication, and interpersonal skills
• Flexible, detailed, and able to successfully adapt to change
• Proven track record of meeting or exceeding goals and objectives
• Must maintain regular and reliable attendance
• Must have a dedicated, quiet, distraction-free home office
• Must attend in-person onboarding training for 3 days
• Must be flexible on schedule and hours
• Some travel may be required

Benefits:

• Work from home position
• Dedicated office space that is quiet and free from distractions
• Equivalent combinations of experience and education considered
• Equal employment opportunity protections